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One-Stage Repair of Salmonella enteritidis-Infected Infrarenal Aortic Aneurysm

A Case Report

Department of Thoracic Surgery Mie University School of Medicine 2-174 Edobashi, Tsu, Mie 514, Japan

Takashi Hayashi

Department of Thoracic Surgery Mie University School of Medicine 2-174 Edobashi, Tsu, Mie 514, Japan

Toru Mizumoto

Department of Thoracic Surgery Mie University School of Medicine 2-174 Edobashi, Tsu, Mie 514, Japan

Hideto Shimpo

Department of Thoracic Surgery Mie University School of Medicine 2-174 Edobashi, Tsu, Mie 514, Japan

Kuniyoshi Tanaka

Department of Thoracic Surgery Mie University School of Medicine 2-174 Edobashi, Tsu, Mie 514, Japan

Yoshihiko Katayama

Department of Thoracic Surgery Mie University School of Medicine 2-174 Edobashi, Tsu, Mie 514, Japan

Uhito Yuasa

Department of Thoracic Surgery Mie University School of Medicine 2-174 Edobashi, Tsu, Mie 514, Japan

Yu Shomura

Department of Thoracic Surgery Mie University School of Medicine 2-174 Edobashi, Tsu, Mie 514, Japan

Kazuo Maruyama

Department of Thoracic Surgery Mie University School of Medicine 2-174 Edobashi, Tsu, Mie 514, Japan

Masaki Takeuchi

Division of Intensive Care, Mie University School of Medicine, Yamamoto General Hospital, Mie, Japan.

Shunsaku Higashi

Division of Intensive Care, Mie University School of Medicine, Yamamoto General Hospital, Mie, Japan.

Hiroshi Yuasa

Department of Surgery, Yamamoto General Hospital, Mie, Japan.

Isao Yada

Department of Thoracic Surgery Mie University School of Medicine 2-174 Edobashi, Tsu, Mie 514, Japan

A sixty-three-year-old man was admitted with systemic sepsis, but he was in a hemody namically stable situation and found to have a contained rupture of an infrarenal aortic aneurysm, which was infected with Salmonella enteritidis. An abdominal plain film revealed a gas shadow forming a ring in the midabdomen. Computed tomography (CT) showed a contained rupture of an infrarenal aortic aneurysm with a gas formation in the retroperitoneum. An emergent extra-anatomic bypass from the ascending aorta to (continued on next page) (Abstract continued) the femoral arteries was performed. The retroperitoneal phlegmon and hematoma that contained a large pseudoaneurysm were removed through a separate incision. A CT obtained after surgery showed gas-containing fluid collections in the retroperitoneum and these were followed up by means of CT. Eight months after surgery, the fluid collec tions had resolved. Aggressive surgical treatment and antibiotic therapy have resulted in a successful outcome.

Vascular and Endovascular Surgery, Vol. 28, No. 9, 619-626 (1994)
DOI: 10.1177/153857449402800907


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